13290 SW SHORE DRIVE 13290 SW SHORE DRIVE
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_ CITY OF TIGARD
OREGON
Owner: Wedgewood Homes Inc. Permit No. 5905
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,jA Address: 13250 Faleor. R; :e Dr. Tigard Or 97223 ,
Bui!dingAddress: 13290 S.W. Shore Dr.
C.cul ancy:_R Land Use Zone: R12 PD Bldg. Tyre 5N
Comments: ,t_
Certificate is hereby given this 29th day of October , 197
that said building may be occupied and that it complies with all g a,
requirements of the Building Code for the City of Tigard, as approved E'
by the Tigard City Council.air,
Jlk
Fire Dept. �7 Building Ina mor
+
Building Official f'-$
Post Certificate in Conspicuous Place .-
�. ;�` , mo
-ei,'
e
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
l, none: b34-µii5
Type of In
Date Requested_ �- Time A,M..� _—P.M.
Address _ ,� 3��2 Permit
Owner .-- _ Lot #— —_--�-
Builder _— lZ ✓'s✓-'%`t�'t�y _
The following Building Coop deficiencies are required to be corrected:
Presented to _ _—_ # Approved
Inspector ❑ Disapproved
Date �' 'IL-1 s
CALL FOR REINSE ECTION
C] YES 0 NO
INSPLCTION NOTICr.
City of Tigard Building Derartment
P.O. Box 23337
Tigsirri, nrRg-.)n 97223
F one: 6394175
Type of Inspection — -
Date Requested r 2� Time A.M.,�C+f'E- P.M. G
Address _ )� �r LSP Permit.
Owner _ Lot # ...
Builder
The following Building dem deficiencies or required t'o^�be-corrected: -
Presented to _. __-- _— Approved
Inspector �.. _. __ ___ Disapproved
Date / e, 7
CALL FOR REINSPECTION
ES 0 NO
��sal brill �
s �!.
r CITY O .-f IC;AR D PI.,UM BI NG' 1M 61 9722-3/+ppticants must hold Omgon Registratumi to Conduct a plumbing PER t�� IT ligan C
business a property
mutt be ownerloperalor not hiring outside help.
Nannero RZ �� rlumb�ng Perm No.
Addro" D" ription
3a 90 s.W groat ORS 614-21-310 OUAN. PRf,F AMT
Address
Job I Tax lQt Map.No. -'-
—. FIXTURES
Lot Mock Subdivlslon _'-�— - 7.60 7• SO
S". f
ame o nuffie RTv-rrW,%-sF Lavatory- 7.50
1 01-bqt,)0 v e rn1 E S Tub or Tub/Shower G+mh /_ 7.50MAIII-V , `•J
as Shower Only _ f_ 7.60
Ib;15b Sw F^cc,, Z;st Da ve Water Closet7.50
Owner /,.tats _
Y7i13 aFwvasher _ l- 750 V.ie
Phone Garbage Disposal / 7.50 15G
— Name - Washing Machina-- - 7.50 7.5 c'
1 Floor Drain 750
f v rng rets —- Phone Water Heater / 7 50 7.SG -
(k upenl City/Stale -� ��, Laundry Room Tray -,- - ` 1.50
Urinal ?so
Name - Phone Other Fixtures(Spedly) -- Y - _ _. 1.50
j�ll'.Cr n 3Y _ _ 7.50
Address Phone7.50
f'. t,e D 3 " - — - - ----
CoMractor 5iii-54!0 23P
7.50
7>EAu ,7Qn QJtrco `i 70:'7 MISCELLANEOUS
City Bus.Tax No. Sem t It 100' 90.00
5 %J "`16 55 Say ro r ea.Addle.t 00' 15.00 -
ta U b ,era t. O. — --
(R"Wontial) 3 y-I 3 p L� Water SOCAM 1 at 100 _ /, _ 4O 00
I hW*ly acknow edge OWr 1 have reed this apW-atlon,that IM k*xrn.ttkxi Yater SKvine ss.Addit.4311' 15.00
pNven 4 contact,Sum 1 am rsoslevad**f•the Stas E3rrikws',osrd.mo also Stam 6 hair Drain W.100' YJ.00
hewn a State Pk^W,a:ranee*W dvr rxxribere QKW are^ones.that ell --
pkrrnbwV work will b,,dose in sox orr'.nm vvM appilcsble provision of the- Storm tl r+yn Drain AWN.100' - 15 00 -
gon Revise!;StahrMrs Chuptare/,l7 ail 893 and app able nodes and that Mobile Horn Speoe 2500
t no help we be empioywl unless%Dvvod under OR i 093. (If exempt from
:;tab registration,please*e reawn below). Back Flow Prevention+
so
t!QMEOWfr1t::RS•-1 hereby oer*y Thal I am the owner a:Mx orapsi ty de- Mvioe or Antl PoMulion 17ev+ce 1
Willed at-",at which loaalkrr I p.-,v, to maks a plumbkrp t,ati-IPA m for Any Trap or W&M Not
my own use aril this properly i►not bakV axwIrmlied for 0010,00"or reit Connected b a Fixhxe -
Catch Basin 7.50
--------___- _.—_--___-. ----__—.__-. -_---._- knp.d6dsl.PMxntsinq 10.00 Per Hr
In _... -
Speciaily Inspeopuru 40.E Pot Hr
- _ -
After of PturnbkV***I
11
9 an Existlrw aide 16`00 Min
'Jt
- -
- _
ALM40AVED SIGNATURE New Dldg.or Build.Addition 16.00 n71n _-
_ — ,AU, a family -- _
Describe wtxk new n sddition L] alteration C) repair 1-1 !tell' 15.01 /5.0C
D be dons residential fi--j - ran-residential LL-
Fxty"use of
btlill,iro orproperty----_ Ilt�TaTl►L i �; -
j arc M a5
bol
ortpioperty - .
mCnxv
1rhls parrM baaontse mA and vM*waft or ooneeuotlon atAtwxtsed lI not oorrr
wtsrtosd wOM 00 del,"If oenaMlG+MOf1 or w m*is st spervIed or absrWoned la
a iwwfnd of QO ftP r any&he after wok lI aor"Warroed
Hate issued !0. �h. .-l __ by _- t(C•
It 480 111 AS,*.
('rrY OF TIGARD MECHANICAL PERMIT Peerrmit#+
Descriptioch -- --
Tnhla 9A Mechanical Code OTY tsnlCIF AMT
City of Tigan ---.- ._._ -_ _
13?25 S.W. Hall Blvd. 1) Pei-mitFee -0- -0- 10.00
Q.O. Box 23397 —
T igard, OR 97223 2) Supplemental Pe+mO 3.00
639-4175 _ Furnace to 100,000 BTU —
/ 1) irwl.ducts&vents _ 6.00 `6-
2) Furnace 100,000 BTU + 7.50
(y / _;nc.l.ducts R vents
Nan.s of Development — — Floor Furnace
3) incl vent 6.00
Job Acodrost ---!-" —___. __ Sus-,(nded heater,wall heater --_
Address / O _��� r^ 4) or fl ,ur mounted heater 6'00
Ur �� a
Tax Lot Map No. Of S/- 3 3 U Vent not incl.in
Loi 'p-in Block Subdivislonl(✓, G►'ca,. �) appliance permit 3.00
Name(or name of business) 6) Repair of heating,refrig., 6.00
p2 y2 3.573 v cooling,absorption unit _ -�_
Mailing Addrass phone Boiler or comp to 3 HP
Owner ) absorp.unit to 100,000 BTU 6'00
ciryistale zip — Boiler or comp to 3 HP-15 HP
6) absorp.unit to 500,000 BTU 11'00
Name Boiler or comp 15-30 HP
9) absorp.unit 1r2-1 million 15A0
Ply 10) Boller or camp to 30-50 HP
isbeol .unit 1-1.75 million 22.50Contractor c;tyistafe _�- —�-- zip - __ 11) Boiler or comp to 50 HP 31.50 -- -
..^ unit 1,750,000 BTU
stele Registration No�_-'�—clry,t3ua.T.x No. 2) A it haifix ing unit to 0 4.50
,000 CFM
I namby eckr wledge that I have read thisAir handling unit --- --'
applketbn lhet the inkxrhatkm given is 13) 7,50CFM -f 7'
correct,that I am the owner or authorkei egeM of the owner.that plans subn4tted aro 10,000 In -,000
cyx pliance wNh%*laws,that I am registered with the Slabs Bolktene'Board,that the Non portable
number q verb is oorraci,it exec hfhtfrom Stela registration please give reason Mniow) t 4) evaporate cooler 4.50
- -- _ Vent fan connected
- 15) to a single duct ?_ 3.00
--- --------- -
- Ventilation aystern not
- --� c� -_--- — --_- 16) included in appliance permit ---- 4.50
17) Hood served by
mechanical exhaust 50
a ( or agsrn) _ Date ) Domenft type 7.50cribe work r'1 addition F1 alteration ❑ repair ❑ 19 Incinerator
to be done residentig rf non-residential O ) Commercial or Industrial 30.00
7— incinerator
Existing use of / J —t
building or properly_. 'l/_____i Other I.e.,woodstove,water
P %ed use of �) heater,solar,clothes dryers,etc. 4''0
building or property ----�_ -- _— 21) Gas piping one to four outlets / 2.00 ,
C
-Type of fuel- oil O natural gas LPG LJ electric O I — — -- - --
22) More than 4-per outlet
NQU09 SUB-TOTAL - Y S�
THIS PERMIT BECOMtS NULL AND VOID IF WORK OR CON- ----- -
STRUCTION AUT14ORIZED IS NOT COMMENCED WITHIN 190 4%SURCHARGE �y
DAYS, OR IF CONSTRUCTION OR WORK !S SUSPENDED OR PIAN REVIEW" OF SM-TOTAL r�
F 9ANDONED FOR A PERIOD OF 190 DAYS AT.ANY TIME.AFTER ---- —
WORK IS COMMENCED. TOTAL — 70
Special Conditions
Date issued- - by
CITY OF TIGARD BUILDING DEPARTMENT PLLN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:-- 7/.D-3A7
P.C. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: �7
"his is to certify that the attached sets of plans ha.ie been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, edition.
PROPERTY OWNER: ,_A^GWNER'S ADDRESS:
CONTRACTOR: TELEPHONE:
JOB ADDRESS: �.SL�J � N-G��'el• LOT NO. & MAP:
DESCRIPTION OF WORK:
,!. rip ovals Required SPECIAL NOTES G
OPlanning Dept. Reissue 7i l o
UEngineering Dept. 0 Flood Plain/Sensitive Lands
0 Fire District O Sewer Availability
0 Other 0 Other
Items Required
`Jl List of. subcontractors
0 Business Tax
�71 Calculations
l J Truss Details
0 Parking Plan
0 Landscape Plan
0 Other
COMMENTS:
City of iia d wilding Department
BY:� / 1
t9Rft)W3 PERMIT APPLICATION DATE.__ — 19. ____ �`�•`�
THE UNDERuIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PH841�-3563_—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHOPA
,rjJM
WC -
I)WNER .{Inewxl "'O'3 r J� PADDRESS 13291) SW �i11l�A.7o Urivr, LOT NO. 2p' Xi r—een
ARCHITECT
t"ic1Tf t
BUILDER ADDRESS _DESIGNENGINEER
R" C<t1t 3,i1 dl12 tAl
STRUCTURE L� NEW ❑ REMODEL f7 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE U COMM ❑ EDUCATIONAL ❑ GOV'- ❑ RELI( PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE'ONE ��BLDG.TYPE — FIR NE PLAN CHECK BY HAT
Construct single family ciwtr3 ? .nc3
�1s3�1 to Ba coda. I^'+j�,SUE of 6928 Subject. to AIP,' ft $350
SEWER PERMIT# 34040(1.du) 2 baths, 10traps 9,13:c'go L1L"E'a 400
1 _�. — 72.000
OCC.LOAD FLOOR LOAD f�iEIGHT NO.STORIES 2 EA 1.54� NO.B�DROOMS —" VALUE 5 _
- - — -- ---
BUILQING DEPARTMENT30
SET BAC'CS FRONT REARLFFT SIDE NIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGUI.ATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES A14D ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4'l.00 WORK W.LL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVC
Subtotal RESTRICTIVE COVENANTS. CONT k ACTOR AND SUP CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS RE jUIRED FOR SEWER.PLUMBING AND HEATING.
State Tex 17.45
A06.45
Total
SOC-
At1U.1JU
Total _
PDC# APPLICANT OR AGENT
By -- Ia.00 T 250.30
y , d 7) Receipt No.
Approved ••- ADDRESS PHONE
t
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
,K o s Po+l fe���a,... 04v `NRough4n
._� � > y — -------• Fixture
Final —
9_NHEATING
3� O _- �--_— Contractor _ V Y 37 r �6
P9rmit No.'7 p
pp-a i r yi /���_ 4 c:✓C. J�C. �^ -` Gas or Oil
_L-2�_ L1E=49 t/ Q' ry — Rough-in
Final
`r 1 SEWER
t_V �— — --- -- Final
DRIVEWAY
�— - _ --- Final a
Storm Dra.nap
(Rain Drain)Final
Sidewalk
Curb&Street Final
ApproeLh
BLDG. DEPT.FINPL TEMPORARY CERTIFiCAYE OCCUPANCY Final
CER'i IFICATE OCCUPANCY
Landscaping _
—� � Zoning Final
�pr�S�1Fe PLAN CHLCK NO.
for inspections cal.1 03') -4115
PERMIT N0.
CITY OFIIGARU E39.4171 DATE _---.------Iv-----
P OI. Box3397
a PERMIT Tigara OR 91223 TAXMAPL., 3 V LO/TTNO. -22-' SUDDIVISIO 1
OWNC. '
;�c JOB ADDRESS .1,3623��
BUILDER _ 'LeLl ti*-'- STATE REG.NO. �''�t( EXP.DATE
BUILDER'S PHONE
PHONE OTHER --
STRUCTURE (}11(1V ❑ REMODEL _❑ ADOMON ❑ REPAIR ❑ MOVE ❑ OTHER C) OEh/OLIf.C�N
13 RESIDENCE Cl COMM ❑ EDUCATION [-j IND ❑ RELIGIOUS. ❑ACCESSORY ❑ GARAGE ❑OTHER ❑ FENCE
OCCUPANCY 1 LAND USE ZONE QLOG.TYPE FIRE ZDNF PIAM CHECK BY _It£AT -
Construct single farm ; dwei l iny vantracheri ❑arilge. ill per apprnuect 11J wic _—
--5u113s=c:�
L 0 85 code
51:WEAFERMjT_� T/ Idt.!) baths. �trag5 c�ril9�are,,a 7 "'UOCC.LOAD FLOOR LOAD HEIGHT- NO.STORIES :REA i s!y NO.BEDROOMS VALUE
BUILDING U!:PARTMENT SET BACKS FRONT f C, r1EAR LEFT SIDE RIGHT SIDF
Permit O , 3 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE mU1LDIH0 CODE, ZONING
rHt
R[GULATIONS AND ALL APPLICAELE CODES AND ORDINANCES.AND IT IS HEREBt -r�NFkri THAT TI4E
Plan Chock WORK WILL Be DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS,AND IN COMPLIANCE
- "-*"--" WITH ALL APPLICABLE CODES AHD ORDINANCES. THE ISSUAMfr OF THIS PEIIIAIT DOES NOT WAIVE
Pt,Ck,Fki RESTRICTIVE COVENANT&CONTRACTOR AND SUB CONTRACTORS TO HAVE.CURRLNT CITY BUSINESS
--- - TAX PER mrmSEPARATE PFOWIVS;REQUIRED FOR f�.Pty1 fNOANDHEATTNQ
Stets Tax / ] . L/J_ 55n( !��
11 SOC - (
Total_- µ4 [- APPI ANTOR A ENT
Recelpl No. !AODr1E5S rNINt
Bal.Due_
I+sued By _.___-Approved By— -
SSDC -- g ,; .3 !�
SOC 'pv
------- R F C E I P f N
PDC ---
-- DATE PD._
SEWER CONNECTION 5 AMOUNT PU.�-
SEWER [N S P E C 1 ION S
SEWER SURCHARGE �S �_rZ� llt. �'r• rn't-A-Pei, � �r, 5